| NPI | 1659526432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CALCINA President 281-995-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23621) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23621) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23621) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |